Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09432 | Date 05/04/2021 |
| Token No | SM/21-22/156 05/04/2021 | Serial | 069 Last Visit: 05/04/2021 |
| Patient Name | Mr. HARADHAN DAS | Contact No | 9088558824 |
| Address | 1,RAJHYADHARPUR GOVT. COLONY | Age | 72 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||